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将结构化同伴支持路径整合于接受细胞治疗的患者:一项参与式研究的启示

英文原题:Integrating Structured Peer Support Pathways for Patients Undergoing Cellular Therapies: Insights from a Participatory Study.

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Integrating Structured Peer Support Pathways for Patients Undergoing Cellular Therapies: Insights from a Participatory Study.

PubMed 2025/10/21(内容时间) Curr Oncol Q2 · IF 3.6(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

血液系统恶性肿瘤患者常经历情绪负担沉重的治疗过程,往往报告高度痛苦和未满足的需求,包括缺乏个体化及情感支持。研究团队与受训患者陪伴者(AP)共同设计了一种结构化支持方案,由AP在接受细胞疗法的血液系统肿瘤患者诊疗关键阶段提供支持。本文报告AP可协助满足的预期需求、其在医疗团队中的角色,以及实施结构化同伴支持所需的关键促进因素、挑战和策略。研究采用参与式行动研究方法,与16名关键相关者开展3次工作会议,共同设计结构化支持流程。对小组讨论数据(3组)进行主题分析,以确定调整AP支持服务所需的核心要素,以及实施过程中的障碍和促进因素。

结果显示,AP可帮助满足多种实际、情感、社会和心理需求,同时增进患者理解并促进照护连续性。参与者强调,明确界定角色、提供充分培训及支持工具,对于确保AP安全有效参与至关重要。研究还发现了组织和沟通方面的挑战,并提出促进长期可持续性的策略。这是加拿大首个针对细胞疗法患者设计的结构化同伴支持项目,为改善患者体验、增强关系照护的连续性以及在整个照护过程中支持癌症幸存者提供了有前景的模式。

展开英文摘要原文

Individuals diagnosed with hematological cancer often face an emotionally demanding journey, frequently reporting high levels of distress and unmet needs, including a lack of personalized and emotional support.

Our research team co-developed structured support provided by trained Accompanying patients (APs) during key stages of the care pathway for individuals with hematological cancers treated with cellular therapies. This paper presents findings on the anticipated needs that APs can address, their role within the care team, and the key facilitators, challenges, and strategies needed to implement structured peer support. Using a participatory action research approach, three working sessions were conducted with 16 key stakeholders to co-develop the structured support pathways. Data from group discussions ( n = 3) underwent thematic analysis to identify essential components for adapting the support offered by APs, as well as the barriers and facilitators to its implementation.

Findings show that APs can help address a wide range of practical, emotional, social, and psychological needs while enhancing patient understanding and continuity of care. Participants emphasized the importance of clear role definitions, adequate training, and supportive tools to ensure the safe and effective involvement of APs.

Organizational and communication challenges were also identified, along with strategies to promote long-term sustainability. This initiative represents the first structured peer support program tailored to cellular therapies in Canada and offers a promising model to improve patient experience, foster relational continuity, and support cancer survivors across the care continuum.

论文信息

作者
Bilodeau K、Torabi P、Tamaro L、Oberoi S、Pascale D、Kilpatrick K、Ogez D、Pomey MP
第一作者单位
Faculty of Nursing, University of Montréal, Montreal, QC H3T 1A8, Canada.Canada
通讯作者单位
Maisonneuve-Rosemont Hospital Research Centre, Montreal, QC H1T 2M4, Canada.Canada
期刊
Current oncology (Toronto, Ont.)2025 Oct 21
原文标识
PubMed 41149506 · DOI 10.3390/curroncol32100586